Individual provider Active NPI

Vanessa B Peyton, M.D.

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1851461446
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101221501 Issued in VA
Practice address
4001 Fair Ridge Dr
Suite 101
Fairfax, VA 22033-2917
Phone
(703) 385-6789
Fax
(703) 352-9409
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD210456 OR
Family Medicine Physician 207Q00000X 25MA11492800 NJ
Family Medicine Physician 207Q00000X 0101221501 VA Primary

Addresses

Primary practice location

4001 Fair Ridge Dr
Suite 101
Fairfax, VA 22033-2917

Mailing address

10709 Shadowglen TRL
Fairfax Station, VA 22039-2429

Other practice location 1

1919 NW Lovejoy St
Portland, OR 97209-1503
Phone (503) 414-5661

Other practice location 2

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (862) 415-0509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070913000831 DC Practitioner - Family Practice 1557455136 Reassigns benefits to 1 organization
I20250909000705 MA Practitioner - Family Practice 1557455136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Main St
Medford, MA 02155-4530
Phone (781) 395-4761

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc CurrentSince Sep 1, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Family Medicine Current Accepting new patients
Mass General Brigham Community Physicians Inc. Past Accepting new patients
Integrated Healthcare Systems Inc PastSince Jun 14, 2018 Accepting new patients

Locations

101 Main St
Ste 107
Medford, MA 02155
Phone (781) 391-4004

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063

Interoperability endpoints

  • Direct secure messaging: vanessapeyton@tdh.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1851461446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10709 SHADOWGLEN TRL",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 FAIR RIDGE DR",
            "address_2": "SUITE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332917",
            "telephone_number": "703-385-6789",
            "fax_number": "703-352-9409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 NW Lovejoy St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972091503",
            "country_code": "US",
            "telephone_number": "503-414-5661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Beauvoir Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "862-415-0509",
            "fax_number": "973-238-5104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "VANESSA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD210456",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11492800",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101221501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.